# HOUSEHOLDER PLANNING APPEAL FORM

If you need this document in large print, in audio format, or in Braille, please contact our helpline on 0303 444 5000. To help you fill in this form correctly please refer to the enclosed guidance leaflet "How to complete your household planning appeal form".

**WARNING:** The appeal and essential supporting documents must reach the Inspectorate within the appeal period. If your appeal and essential supporting documents are not received in time we will not accept the appeal.

**PLEASE PRINT CLEARLY IN CAPITALS USING BLACK INK**

## A. APPELLANT DETAILS

| Name | MR & MRS L. BEERS | |------|-------------------| | Company/Group name (if applicable) | | | Address | 9 ALICE'S COTTAGES, WINSTER LANE, ECTON | | Postcode | DE4 RAC | | Daytime phone | | | Fax | | | I prefer to be contacted by | Post | Email | * | | * Email address | |

## B. AGENT DETAILS (IF ANY) FOR THE APPEAL

| Name | MR. G. SUTCLIFFE | |------|------------------| | Company/Group name (if applicable) | ARTECH DESIGN | | Address | 28 WHEATFIELD, LEYLAND, LANCASHIRE | | Postcode | PR26 7AD | | Your reference | | | Daytime phone | 01772 456592 | | Fax | | | I prefer to be contacted by | Post | Email | * | | * Email address | Gary.sutcliffe@blueyonder.co.uk |

## C. LOCAL PLANNING AUTHORITY (LPA) DETAILS

| Name of the LPA | PEAK DISTRICT NATIONAL PARK AUTHORITY | | LPA's application reference number | NP/DDD/0613/0458 | | Date of the application | 04/06/13 | | Date of the LPA's decision notice | 10/09/13 | D. APPEAL SITE ADDRESS

Address: 9 Alice's Cottages, Winsted Lane, Elton, Derbyshire Postcode: DE4 2AL

Note: Failure to provide the full postcode may delay the processing of your appeal.

Please answer the questions below:

1. Is the appeal site within a Green Belt? Yes ☑ No

2. Could the Inspector see the relevant parts of the appeal site sufficiently to judge the proposal from public land? Yes ☑ No

3. Are there any health and safety issues at, or near, the site which the Inspector would need to take into account when visiting the site? If yes, please describe them on a separate sheet. Yes ☑ No

E. DESCRIPTION OF THE DEVELOPMENT

Has the description of the development changed from that on the application form? Yes ☑ No

Erection of conservatory to rear.

Area of floor space of proposed development in square metres

F. REASON FOR THE APPEAL

The reason for this appeal is that the LPA has (please tick which applies):

1. Refused planning permission
2. Refused permission to vary a condition(s).
3. Refused prior approval of permitted development rights.

G. GROUNDS OF APPEAL

Do you intend to submit a costs application with this appeal? Yes ☑ No

On a separate sheet

Please continue on a separate sheet if necessary. H. (part one) SITE OWNERSHIP CERTIFICATES

We need to know who owns the appeal site. If you do not own the appeal site or if you own only a part of it, we need to know the name(s) of the owner(s) or part owner(s) and be sure that you have told them that you have made an appeal.

You must tick below which of the "certificates" applies. Please tick ONE box only.

If you are the sole owner of the whole appeal site, certificate A will apply:

CERTIFICATE A I certify that, on the day 21 days before the date of this appeal, nobody except the appellant, was the owner of any part of the land to which the appeal relates:

OR

CERTIFICATE B I certify that the appellant (or the agent) has given the requisite notice (see Guidance Notes) to everyone else who, on the day 21 days before the date of this appeal, was the owner of any part of the land to which the appeal relates, as listed below:

Owner's name Address at which the notice was served Date the notice was served (this must be within the last 21 days)

CERTIFICATES C & D If you do not know who owns all or part of the appeal site, complete either Certificate C or Certificate D in the guidance leaflet and attach it to the appeal form.

H. (part two) AGRICULTURAL HOLDINGS CERTIFICATE

We need to know whether the appeal site forms part of an agricultural holding. Please tick either (a) or (b). Please tick ONE box only.

a) None of the land to which the appeal relates is, or is part of, an agricultural holding:

OR

b) The appeal site is, or is part of, an agricultural holding and the appellant (or the agent) has given the requisite notice to every person (other than the appellant) who, on the day 21 days before the date of the appeal, was a tenant of an agricultural holding on all or part of the land to which the appeal relates as listed below:

Please note: If the appellant is the sole agricultural tenant, (b) should be ticked and 'not applicable' should be written under "Tenant's name".

Tenant's name Address at which the notice was served Date the notice was served (this must be within the last 21 days) I. ESSENTIAL SUPPORTING DOCUMENTS

If we do not receive both your appeal documents by the end of the appeal period we will not accept your appeal.

You must send the documents listed below with your appeal form. Please tick the boxes to confirm the documents are enclosed.

1. A copy of the original planning application form sent to the LPA.
2. A copy of the LPA’s decision notice.

J. OTHER APPEALS

If you have sent other appeals for this or nearby sites to us and these have not been decided, please give details and our reference numbers.

K. CHECK SIGN AND DATE

Please tick the boxes to confirm that the following actions have been carried out.

1. I have completed all sections of the form and the details of the ownership (sections H, parts one and two) are correct to the best of my knowledge.
2. I have enclosed both the essential supporting documents listed in section I.
3. I have enclosed my grounds of appeal (if not given in section G).
4. I have sent a copy of this appeal form and relevant documents to the LPA (if you do not we will not normally accept your appeal).
5. I have signed and dated the form (unsigned forms will be returned to you).

Signature

Date 24/11/13

Name (in capitals) G. SUTCLIFFE

On behalf of (if applicable) Mr. and Mrs. L. BEERS

The gathering and subsequent processing of the personal data supplied by you in this form, is in accordance with the terms of our registration under the Data Protection Act 1998. Further information about our Data Protection policy can be found in the guidance leaflet.

L. NOW SEND

Send THIS form (not a photocopy of it) to us at: Send a copy to the LPA

Initial Appeals PO Box 3035 Temple Quay House 2 The Square Temple Quay BRISTOL BS1 9FG

Helpline: 0303 444 5000

You may wish to keep a copy of the completed appeal form for your records

When we receive your appeal form, we will write to you letting you know if your appeal is valid, who is dealing with it and what happens next.